2020 ACA San Diego Planning Guide_Winter Conference

ADVANCE REGISTRATION 2020 Winter Conference • San Diego • Jan. 9–14, 2020

SAVE $$$ REGISTER BEFORE Dec. 20, 2019

To register using a credit card: MAIL: Send completed form with check or purchase order to: ACA, 206 N. Washington St., Suite 200, Alexandria, VA 22314 — FAX: Fax your form to 703-224-0040 — PHONE: 800-222-5646, ext. 0121 — WEB: www.aca.org Registrations at the advance rate cannot be accepted after Dec. 20, 2019. Any registrations received after Dec. 20, 2019 will automatically be charged the on-site rate. Invoiced agency purchase orders must be paid in full on or before Dec. 20, 2019. I wish to register for ACA’s 2020 Winter Conference

ADVANCE: ON or BEFORE 12-20-19

ON-SITE: AFTER 12-20-19

Member registration rate. Member ID# ACA ID# must be listed. Dues must be paid through Feb. 3, 2020.

$275

$320

Nonmember registration rate.

$310 $150

$350 $190 $110 $850 $500

One-day registration rate. Check the day you will be attending:

SAT 1/11

SUN 1/12

MON 1/13

TUES 1/14

Student registration rate. (Not employed in corrections. Copy of student I.D. card required.)

$75

Nonexhibitor full conference. (company attending but not exhibiting.)

$750 $450

Nonexhibitor one day. (company attending but not exhibiting):

SAT 1/11

SUN 1/12

MON 1/13

TUES 1/14

Please check the one box that most closely reflects your job title. Commissioner/Director Purchasing Warden/Dpty./Asst. Finance Superintendent/Dpty./Asst. Health Care Sheriff/Chief Supervisor/Manager Transportation Food Service

Officer Operations Trainer Human Resources Architect/Design

Program Admin. Academic/Researcher Community Corrections Consultant Chaplain

If you have any questions or need additional assistance please contact Freda Stewart at fredas@aca.org. Continuing Education Credits

CMEs (Physicians/Mid-levels) .. $99 CE (Nurses) ................................. $30

CEUs (Other professionals) ...... $30 CE (Psychologists) ..................... $30

CE (Dentists) ................................ $79

ADA Needs __________________________________________________ (An ACA staff member will call to discuss accommodations.)

PLEASE PRINT OR TYPE

Check here if you make final decisions on purchases. Payment Check made payable to ACA (Check #____________________ ) Charge to: Visa Mastercard AMEX Discover Diners Club PRINT Cardmember Name_________________________________________________________________________________________________ Cardmember Signature (required) ___________________________________________________________________________________________ First Name ______________________________________________ MI _________ Degree ___________________________________________ Last Name _________________________________________________________________________________ Title _______________________________________________________________________________________ Agency/Company ___________________________________________________________________________ Address ___________________________________________________________________________________ City _______________________________________________________________________________________ State _____________________________________________________ ZIP code ________________________ Country (Other than U.S.) _____________________________________________________________________ Email Address ______________________________________________________________________________ Business Phone _____________________________________ Fax ____________________________________ There will be a $50 cancellation fee regardless of reason. No refunds will be given unless a written request is received on or before Dec. 20, 2019. Email: conference@aca.org Check here if you are a first-time attendee.

Credit Card Number

Exp. Date

V-code

Please check this box if you wish to opt out of conference mailings/emails. *Please note that if this box is not checked you will automatically be added to the conference list. If you wish to be removed please contact conference@aca.org.

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